意大利医学学生中初级头痛的患病率,特征和医疗保健利用率
Marina Romozzi1,2, Vincenzo Trigila3, Giovanni Cuffaro4
1Dipartimento Universitario di Neuroscienze, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli n° 8, 00168, Rome, Italy. marinaromozzi@gmail.com.
概括
偏头痛和紧张型头痛在意大利的医学学生中很常见,影响了他们的幸福感. 尽管发病率很高,但许多学生对这些主要头痛的医疗保健资源的利用不足.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 偏头痛和头痛显著影响大学生的学业成绩和日常生活.
- 医学学生面临独特的脆弱性,由于要求训练和暴露在头痛触发器.
- 初级头痛是高等教育中的一个重大公共卫生问题.
研究的目的:
- 调查意大利医学学生中初级头痛的患病率和特征.
- 为了检查这些人群中寻求医疗保健的行为和治疗头痛的使用情况.
- 确定导致医学学生头痛负担的因素.
主要方法:
- 在罗马天主教圣心大学 (Università Cattolica del Sacro Cuore) 对536名医学学生进行了横截面研究.
- 采用自行管理的问卷,遵守国际头痛疾病分类-3标准,用于数据收集.
- 问卷评估了头痛特征,触发因素和医疗保健/治疗利用情况.
主要成果:
- 头痛的一生和过去一年的患病率为76.7%. 偏头痛的患病率为26.9%,可能的偏头痛为12.9%,紧张型头痛 (TTH) /可能的TTH为36.9%.
- 超过一半 (59.8%) 报告说,在上大学后头痛恶化;所有头痛患者都至少发现了一个触发因素.
- 尽管症状负担很高,但医疗资源利用率很低:25%的人被诊断为偏头痛,只有13.9%的人进入急诊室.
结论:
- 偏头痛和TTH在意大利的医学学生中非常普遍.
- 对初级头痛的医疗保健资源利用率低表明需要有针对性的干预措施.
- 公共卫生策略对于减轻这种脆弱群体中与头痛相关的残疾至关重要.
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